Remote Physician ED Claims Reviewer (UM & Coding)
Vytwo
- Remote job
Vytwo seeks a Physician ED Claims Reviewer for a 12-month remote assignment. The clinician will conduct clinical review of claims and UM authorization requests to determine clinical necessity, leveraging CPT/HCPCS coding and managed care expertise. Ideal candidates hold an active US medical license with 3–5 years of emergency department medicine experience or equivalent internal medicine background, and possess strong knowledge of claims processing and medical coding. #J-18808-Ljbffr Vytwo
- Vytwo Technologies Inc. seeks a Physician ED Claims Reviewer for a 12-month remote assignment. The role focuses on clinical... ...and utilization management (UM) authorization requests to determine... ...and have experience with CPT/HCPCS coding, managed care, and using multiple...Remote jobClaims
- ...experienced DRG Clinical Physician Reviewer to join our growing... ...team. This is a fully remote opportunity for a... ...improved documentation, coding accuracy, and cost containment... ...review experience (UM, DRG Validation, or... ...Validation, CDI, or claims review strongly preferred...Remote workClaimsFull time
$285.23k - $332.26k
...Mso Physician Reviewer Burlingame, CA 94010 Overview Salary Range $2... ...collaborates with healthcare providers, UM team members, and case... ...process by reviewing denied claims and reconsidering medical... ...stratification and appropriate coding and documentation based on patient...ClaimsFull time- ...Medical Director for review and works closely with... ...with the treating physician or other providers of... ...responsible for pricing, coding, researching claims to ensure accurate... ...multiple areas (i.e. UM and CM). Incumbent is... ...may be opportunity for remote work within all jobs...Remote workClaimsContract workWork at office
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/or... ...MEXICO to assist with independent review claims and appeals in any of the following... ...performing external reviews Job Type Contract Work Location Remote...Remote workClaimsContract workWork experience placementWork at office
- ...Claims Reviewer Location: Phoenix AZ 85053 (REMOTE) Duration: 6+ Months Pay Range: $28.00/hr on W2 Shift: Mon Fri 8.00 AM 5 PM PST Job Summary... ...resolution, audit, and related functions. Applies clinical, coding, and processing knowledge to conduct review of...Remote workClaimsContract workFor subcontractorInterim roleShift work
$79k - $99.75k
...comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules,... ...on inpatient DRG claims as they compare with medical... ...medical records such as physician notes, lab tests, images... ...We foster a hybrid and remote friendly culture, and all...Remote workClaimsFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$248.5k - $373k
...together. As part of the Focus Claims Review team at Optum, the Medical... ...as a liaison between Optum, physicians, and other medical service... ...hours per week. This can be remote work from home anywhere in... ...professional claims for correct coding using clinical record...Remote jobClaimsMinimum wagePart timeWork experience placementLocal areaWork from home- Trinity Health is seeking a Physician Coding Specialist II in Columbus, Ohio. This position involves assigning surgical and office procedural... ...codes to patient health information for data retrieval and claims processing. The ideal candidate will possess a high school diploma...Remote jobClaimsWork at office
$38.02k - $49.43k
...File Room (EFR) and RightFax. Reviews invoice documentation to... ...criteria. Uses established coding procedures to annotate correspondence... ...Preference: If you are claiming veteran's preference, you MUST... ...: Cleveland, OH 1 vacancy Remote job No Telework eligible No...Remote workClaimsPermanent employmentFull timePart timeFor contractorsWork at officeRelocationRelocation package$24 per hour
...IN-OFFICE - HYBRID - REMOTE POSITIONS AVAILABLE... ...and performance-driven Physician Medical Billers to join... ...accurate and timely billing, claims management, and accounts... ...Prepare, review, and submit medical claims... ...of service, diagnosis codes (ICD-10), procedure codes...Remote workClaimsHourly payFull timePart timeWork at officeRelocation packageShift workAfternoon shift- Physician Advisor - UM MSQ Location: St Josephs Main and Childrens Status: Part... ...Work: None On Call: No Remote Work: Hybrid Equal Opportunity... ...management and utilization review departments and the hospital... ...regulations, appropriate physician coding and documentation...Remote workPart timeShift workWeekend work
- ...PRN Physician Coding Specialist II, Orthopedic Clinic - Sheffield Village... ...timely payments of outstanding claims. What You Will Do:... ...departmental guidelines. Reviews and corrects coding edits and... ...Entry Level Travel: No Remote Work: Hybrid Job Posting:...Remote workClaimsDaily paidWork experience placementRelief
- ...the Mission and Guiding Behaviors; the Physician Coding Specialist II will assign the appropriate... ...for data retrieval, analysis and claims processing for the Mount Carmel Medical... ...interdisciplinary care delivery system. Reviews and evaluates patient medical records to...Remote jobClaimsFull timeWork experience placementWork at officeLocal areaShift work
- ...Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews. Work's Compensation experience is preferred but not... ...clinical expertise, and reviews workers' compensation claims by providing an interpretation of the medical...Remote workClaimsFor contractorsMonday to Friday
- ...Assistant II (Hybrid) - Physician Billing... ...insurance records, and claims, contacting insurance companies... ...of physician charges.* Reviews patient accounts to verify... ...environment.* Primarily remote with the exception of coming... ...), ICD-10 Procedure Coding System, Insurance Follow...Remote workClaimsWork experience placementWork at office
$85k - $90k
...Cost Outlier, and Readmission Reviews. Under the direction of... ...reviews of inpatient claims to ensure coding accuracy and appropriate DRG... ...diagnoses. This is a fully remote position. Candidates must be... .... Collaborates with physician reviewers, as needed. Ability...Remote workClaimsFull time$204.76k - $292.52k
...need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties... ...please click HERE Current Contingent Worker please see job aid HERE to apply #LI-RemoteRemote workHourly payFull timeReliefWork at officeLocal area- ...Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed... ...based on diagnosis and procedure coding. Working within a specialized... ...role is primarily office-based or remote, depending on company policy,...Remote workClaimsFull time
- ...Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed... ...based on diagnosis and procedure coding. Working within a specialized... ...role is primarily office-based or remote, depending on company policy,...Remote workClaimsFull time
- ChenMed is seeking a Physician Reviewer to lead utilization management reviews and advise fellow physicians. The role includes coordinating care... ...plans and local teams, participating in QA and delegated UM processes, and supporting territory-based case development. Strong...Remote jobLocal area
- ...for the organization under the Director of Coding and Billing. The role emphasizes patient-... ...team environment. Position may be remote eligible for the right candidate, with a... ...on accuracy and efficiency in processing claims and communicating with patients about balances...Remote workClaimsFull time
- ...This need will be FULLY remote while the provider is... ...Responsibilities: ~ Reviews prior authorization and... ...approval or denial of claims payment based on... ...define acceptability of physician performance, conducts review... ...Participation in a managed care UM committee - PREFERRED...Remote workClaimsPermanent employmentLocumLocal areaWeekend work
$248.5k - $373k
...together.As part of the Focus Claims Review team at Optum, the Medical... ...development and implementation of coding and procedures.You'll enjoy the flexibility to work remotely * from anywhere within the U.... ...other colleagues including physicians, nurses, PTs, OTs and other...Remote workClaimsMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours- ...position may transition to a hybrid remote work arrangement (three days... ...AR procedures, including reviewing aging reports, denials, and... ...experience in medical billing, coding, and claims-related services. ~ Previous experience in physician office and/or hospital...Remote workClaimsContract workWork at officeMonday to Friday3 days per week
$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation... ...perform medical necessity reviews, peer-to-peer discussions,... ...-auths, concurrent reviews, claims, and appeals Make medical... ...to-peer reviews and support UM staff Participate in committees...Remote jobClaimsFull timeRelocation- ...Working remotely, the full-time State Licensed Utilization Reviewer will perform utilization reviews on workers' compensation treatment referrals, ensuring the... ...medical treatment plans and contributing to effective claims management. Key responsibilities Utilizes...Remote workClaimsFull time
- ...organization as directed by the Director of Coding and Billing. Successful candidates for... ...wellness of our communities. Position may be remote eligible for the right candidate. Key... ...insurance activity; follow-up on problem claims. Prepare and submit monthly patient...Remote workClaimsFull time
$7.5k
...Nurse - Utilization Mgmt Reviewer - Case Management -... ...Utilization Management (UM) Reviewer, in collaboration... ...Clinic offices, other physician offices, and the Robert... ...generation of clean claims in a timely manner Securing... ...with CPT/ICD coding, medical record or chart...ClaimsFull timeWork at officeRelocation packageShift work
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